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General NPI Number Information
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NPI Number | 1003467499
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Entity Type | Organization
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Legal Business Name | ROSECRANS & ASSOCIATES PLLC
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Dates
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Enumeration Date | 09/26/2019
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 1457 MERCHANT DR STE C
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City | ALGONQUIN
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State | IL
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Zip | 60102-5917
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Country | US
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Telephone | 847-461-8414
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Fax | 847-461-8387
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Provider Business Mailing Address
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Address Line | 1457 MERCHANT DR STE C
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City | ALGONQUIN
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State | IL
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Zip | 60102-5917
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Country | US
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Telephone | 847-461-8414
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Fax | 847-461-8387
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Authorized Official
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Title or Position | PRESIDENT/LICENSED CLINICAL HEALTH
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Name | DR. MEGAN ROSECRANS
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Credential | PSY.D.
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Telephone | 630-347-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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